David M. Lichtman, MD, Rear Admiral (Retired), US Navy, Adjunct Professor, Department of Surgery, Uniformed Services University of the Health Sciences, Bethesda, MD, USA, Adjunct Professor, Department of Orthopedic Surgery, University of North Texas Health Sciences Center, Fort Worth, TX, USA
Gregory Ian Bain, MBBS, FRACS, FA(Ortho)A, PhD, Professor, Upper Limb and Research, Department of Orthopedic Surgery, Flinders University and Flinders Medical Centre, Bedford Park, Adelaide, SA
Collecting and synthesizing all of the most recent literature on Kienböck's disease from around the world, this comprehensive text aims to provide a more dynamic, nuanced treatment algorithm for this enigmatic condition. Part I consolidates the basic science on Kienböck's and the lunate, including anatomy, pathology, biomechanics and etiology. Clinical assessment is covered in part II, including radiology, advanced imaging and arthroscopy. The natural history and progression of the condition in children, adults and the elderly is also presented. By far the largest section, part III describes the roles and methods of the various management strategies for Kienböck's, from minimally invasive techniques to arthroscopic and arthroplastic procedures. The final chapter draws from all of these concepts, establishes a new algorithm and provides a direction for the future. Written and edited by leaders in the field, and including supplemental video features for select chapters, Kienböck's Disease: Advances in Diagnosis and Treatment is a remarkable text that helps unlock this mysterious condition, and will be a valuable resource for hand and orthopedic surgeons, residents and trainees worldwide.
Brings together the latest advances in the basic science and assessment of the spectrum of Kienböck's disease
Part I: Basic Science.- Osseous Anatomy and Microanatomy of the Lunate.- Vascularity of the Lunate.- Lunate Bone Morphology and Its Association with Kienböck's Disease.- Wrist Biomechanics as Applied to the Lunate and Kienböck's Disease.- Pathoanatomy of Kienböck's Disease.- Etiology of Kienböck's Disease.- Part II: Clinical Assessment.- Clinical Presentation, Natural History and Classification of Kienböck's Disease.- Basic Imaging and Differential Diagnosis of Kienböck's Disease.- Advanced Imaging of Kienböck's Disease.- Acute Lunate Fractures and Translunate Dislocations.- Arthroscopic Assessment and Treatment of Kienböck's Disease.- Part III: Management.- Minimally Invasive Techniques for the Treatment of Kienböck's Disease.- Radial Shortening and Ulnar Lengthening Operations for Kienböck's Disease.- Radial Closing Wedge Osteotomy for Kienböck's Disease.- Osteochondral Free Flap Reconstruction of Advanced Kienböck's Disease.- Scaphotrapeziotrapezoid and Scaphocapitate Fusion in Kienböck's Disease.- Radioscapholunate Fusion in Kienböck's Disease.- Lunarectomy and Progressive Capitate Lengthening (Modified Graner Wilhelm Procedure).- Arthroscopic Reconstructive Procedures for Kienböck's Disease: Arthroscopic Assisted Bone Grafting.- Arthroscopic Reconstructive Procedures for Kienböck's Disease.- Pyrocarbon Arthroplasty for Kienböck's Disease.- Wrist Hemiarthroplasty Combined with Proximal Row Carpectomy.- Total Wrist Arthroplasty.- Total Wrist Fusion in the Management of Kienböck's Disease.- The Future of Kienböck's Disease: A New Algorithm.
